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Paramedic Meds
Dosages
Question | Answer |
---|---|
Adenosine (PSVT) | 6 mg IV rapid bolus, flush/elevate follow in 1-2 min w/ 12 mg |
Albuterol Sulfate | 3 ml solution @ 6-8 Lpm O2 |
Amiodarone (Cardiac Arrest) | 300 mg IV bolus |
Amiodarone (Refractory V-fib/tach in arrest) | 150 mg IV bolus |
Amiodarone (V-tach w/ pulse) | 150 mg IV infusion w/ 100 ml NS over 10 min |
Aspirin | Four 81 mg tablets PO (324 mg) |
Atropine Sulfate (symptomatic bradycardia) | 0.5 mg IV q 5 min, max 3 mg |
Atropine Sulfate (Asystole/PEA) | 1 mg IV q 5 min (0.02 mg/kg Peds) |
Atropine Sulfate (SLUDGE dose) | 2 mg IVP q 5 min, after 3 doses contact OLMC |
Atropine Sulfate (Peds RSI) | 0.02 mg/kg IVP (no more/less than 0.5 mg/0.1 mg) |
Calcium Chloride (Ca++ channel blocker OD / hypocalcemia) | 1 g SLOW IV over 2 min |
Calcium Chloride (Cardiac Arrest w/ suspected hypocalcemia) | 1 g IVP, after 1st shock & Epi |
Dextrose | 25 g IVP |
Diltiazem | 10 mg IV over 2 min (repeat in 15 min w/ 10-20 mg IV over 2 min) |
Diphenhydramine Hcl | 25-50 mg IV slow / deep IM |
Epinephrine (Cardiac Arrest) | 1 mg 1:10,000 IV q 5 min (0.01 mg/kg Peds) |
Epinephrine (Anaphylaxis) | 0.3 mg 1:1000 SQ,IM OR *0.2-0.3 mg 1:10,000 IV OLMC* |
Epinephrine (Asthma) | 0.3 mg 1:10,000 IV or ETT |
Etomidate | 10 mg IVP for elderly/small pts 20 mg IVP for ave. adult pts 30 mg IVP for obese adult pts |
Fentanyl Citrate | 50-100 mcg IV,IM,IN q 5 min PRN up to 200 mcg |
Furosemide (Pulmonary Edema, Hypertensive w/ diastolic >120 mmHg) | 40 mg IVP, 80 mg IVP if no response or if pt on Lasix and in acute pulm. edema |
Glucagon | 1 mg IM q 20 min PRN |
Glucose (oral) | 15 g PO |
Metoclopramide HCl | 10 mg IV over 1-2 min repeat in 15 min w/ 5 mg if persistent emesis |
Midazolam (sedation/pain relief) | 1-2.5 mg IV over 2 min |
Midazolam (RSI) | 10-20 mg IVP, *0.2 mg/kg IM (10-15 mg ave.)* repeat w/ 3-15 mg post-intubation |
Midazolam (Seizures) | 2.5-5 mg IV OR 0.2 mg/kg IM max 15 mg |
Morphine Sulfate | 3 mg IV, 3 mg IV q 5 min (2 mg if over 70 y/o) |
Naloxone | 2 mg IVP,IM,ET,SQ OR 4 mg IN q 3 min thrice |
Nitroglycerine (Angina/Chest Pain/Infarct) | 1 spray q 5 min (w/ SBP > 100 mmHg) |
Nitroglycerine (pulmonary edema/HTN crisis) | 2 sprays |
Pancuronium Bromide | *OLMC 0.1 mg/kg IV* |
Sodium Bicarb (Cardiac Arrest) | 1 mEq/kg IV repeat w/ 0.5 mEq q 10 min |
Sodium Bicarb (Tricyclic OD w/ dysrhythmia) | *OLMC 1 mEq/kg IV* |
Succinylcholine | 1.5-2 mg/kg IVP or 2-4 mg/kg IM |
Tetracaine HCl | 1-2 drops in eye |
Dopamine | Premix Bag 400 mg in 250 ml NS (1600 mcg/ml) IV infusion @ 2-10 mcg/kg/min via Pump titrate to effect |
Droperidol (Inapsine) | 25-50 mg Benadryl IM/IVP then 2.5-5 mg IM/IVP Inapsine |
Lidocaine (PVCs) | 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg max 3 mg/kg (support w/ drip) |
Lidocaine (Tachycardia) | 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5-10 min. max 3 mg/kg (support w/ drip) |
Lidocaine (Arrest) | 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5 min. max 3 mg/kg (support w/ drip) |
Lidocaine (RSI w/ head injury) | 1.5 mg/kg IV pre-sux |
Lidocaine (drip) | 2-4 mg/min (x1/2 in pts over 70 or w/ chronic disease/hypotension |
Lidocaine (IO anesthetic, pt CAO) | 40 mg IO, flush w/ 10 cc NS |
Mag Sulfate | 2 grams in 20 ml NS IV over 2 min |
Oxytocin (Post-delivery vaginal hemorrhage) | 20 units in 1000 ml NS wide open |
Thiamine (Alcohics prior to D5W) | 100 mg IV over 5 min |
Zofran (severe N/V) | 4 mg IV/IM q 15 min, max 8 mg |